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Organization

ASSOCIATES FOR FAMILY DENTISTRY CHICAGO LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS J WODNIAK D.D.S. (PRESIDENT DENTIST)
(630) 893-8636
Entity
Organization

Contact information

Practice address
183 S BLOOMINGDALE RD, SUITE 3, BLOOMINGDALE, IL 60108-1466
(630) 893-8636
(630) 893-4962
Mailing address
183 S BLOOMINGDALE RD, SUITE 3, BLOOMINGDALE, IL 60108-1466
(630) 893-8636
(630) 893-4962

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
06/19/2007
Last updated
08/22/2020
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